1.やさしい
In Maslow’s hierarchy of needs, which level sits at the top?
- ASelf-actualization
- BSafety and security
- CLove and belonging
- DEsteem
2.やさしい
ABC の枠組みで、循環の問題はどれですか?
- A不安
- B止まらない出血
- C呼吸数 32 回/分
- D喘鳴(ストライダー)
3.やさしい
Which resting heart rate in an adult is bradycardia?
- A46/min
- B72/min
- C64/min
- D88/min
4.ふつう
A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?
- A“I will keep my child home from school and away from others while unwell.”
- B“I will call if my child has trouble breathing.”
- C“I will give my child aspirin to bring the fever down.”
- D“I will give my child plenty of fluids.”
5.ふつう
A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?
- AStart CPR and stop when the family arrives
- BFollow the DNR order and do not start CPR
- CStart chest compressions but not rescue breaths
- DCall the cardiac arrest team and let them decide
6.ふつう
バイタルサインが正常な安定した成人が、手の切り傷で縫合が必要ですが、ほかには何も必要ありません。どの ESI レベルが当てはまりますか?
- Aレベル 5
- Bレベル 4
- Cレベル 2
- Dレベル 3
7.むずかしい
A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?
- AThe open fracture of the leg
- BThe suspected tension pneumothorax
- CThe pain from the fracture
- DThe risk of wound infection
8.むずかしい
A patient with known abdominal aortic aneurysm suddenly has severe back pain, a pulsing mass in the abdomen and a falling blood pressure. What should the nurse do?
- AEncourage the patient to walk to ease the back pain
- BCall for emergency help at once and prepare for urgent surgery
- CGive an oral analgesic and reassess the patient in about one hour
- DPalpate the mass firmly to check its size and spread
解答
- 1. A · Self-actualization
- 2. B · 止まらない出血
- 3. A · 46/min
- 4. C · “I will give my child aspirin to bring the fever down.”
- 5. B · Follow the DNR order and do not start CPR
- 6. B · レベル 4
- 7. B · The suspected tension pneumothorax
- 8. B · Call for emergency help at once and prepare for urgent surgery
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